Individual provider Active NPI

A.. Robert Masten, M.D.

  • Dermatology Physician
  • Milford, DE
National Provider Identifier
1083704472
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C1-0001516 Issued in DE
Practice address
509 Lakeview Ave
Milford, DE 19963-2917
Phone
(302) 422-4581
Fax
(302) 424-4511
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X C1-0001516 DE
Dermatology Physician 207N00000X C1-0001516 DE Primary
Procedural Dermatology Physician 207NS0135X C1-0001516 DE

Addresses

Primary practice location

509 Lakeview Ave
Milford, DE 19963-2917

Mailing address

509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 422-4581

Other names 1

  • Dr. A. Robert Masten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0001516DEMDClinical & Laboratory Dermatological Immunology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1083704472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-4581",
            "fax_number": "302-424-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-4581",
            "fax_number": "302-424-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTEN",
        "first_name": "A..",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "DE",
            "license": "C1-0001516",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0001516",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "DE",
            "license": "C1-0001516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A.",
            "last_name": "MASTEN",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.